Iliotibial Band Syndrome N066

Current RMA Instruments

Changes from previous Instruments

ICD Coding

• ICD-9-CM Codes: 726.60
• ICD-10-AM Codes: M76.3

Brief description

This is an overuse injury producing pain in the outer lower thigh / lateral knee area.

Confirming the diagnosis

Iliotibial band syndrome (ITBS) is diagnosed clinically, based upon a suggestive history and characteristic examination findings.  Diagnosis can be made by a GP, sports physician or orthopaedic surgeon.  Radiological imaging is not required. 

The relevant medical specialist is an orthopaedic surgeon.

Additional diagnoses covered by SOP

• Iliotibial band friction syndrome

Conditions that may be covered – further information required

• Runner’s knee

Diagnoses not covered by SOP

• iliotibial band insertional tendinosis^#
• proximal iliotibial band syndrome^#

^# Non-SOP condition 

Clinical onset

The condition typically has an insidious onset, with pain developing during the course of prolonged activity, such as running or cycling.  Once the diagnosis has been made, onset can be backdated to the commencement of the characteristic pain.

Clinical worsening

Worsening may be evidenced by an increase in the frequency, severity or duration of symptoms.  However, permanent worsening is unlikely, as the condition generally responds well to treatment and a return to full activity is typically acheivable within 6 months with appropriate treatment.